157例前列腺液细菌培养及药敏分析与临床意义

Bacterial Culture and Drug Sensitivity Test for 157 Prostatic Fluid and the Clinical meaning

目的:了解近期慢性前列腺炎致病菌及药物敏感状况,探讨其临床意义。方法:对慢性前列腺炎患者在消毒尿道口并排尿后取前列腺液做细菌培养和药物敏感试验。结果:157份标本中,阳性标本57份。阳性标本中,葡萄球菌占80.7%,其它G+菌占12.3%,G-菌占7.0%。葡萄球菌对19种药物敏感性较好的为万古霉素(92.7%)、替考拉宁(90.2%)、头孢唑林(75.6%)、美罗培南(70.7%)、头孢呋辛(63.4%)。结论:慢性前列腺炎以无菌性为多,有菌性以葡萄球菌感染为主。有条件时宜对慢性前列腺炎患者施行前列腺液细菌培养和药物敏感试验,针对细菌的药物敏感性用药。

Objectives: To investigate the drug sensitivity test and bacterial culture of the prostatic fluids and their clinical significance in patients with chronic prostatitis. Methods: The prostatic fluids were taken from chronic prostatic sufferers for bacterial culture and drug sensitivity test after disinfecting external orifice of urethra. Results: There were 57 positive specimens in total 157 cases,and 80.7% staphylococcus,12.3% G+ germ,7.0% G-germ were found in these positive specimens. Norvancomycin(92.7%),teicoplanin(90.2%),cefazolin sodium(75.6%),meropenem(70.7%),and cefuroxime sodium(63.4%) were the most fifth sensitivity in 19 kinds of medicine. Conclusion: Most chronic prostatitis are germfree ,and chronic bactrial prostatitis with staphylococcus is the main germ in those positive spicemens. Patients should be suggested to perform drug sensitivity test and bacterial culture for their prostatic fluids if it is allowed,so that the sensitive medicine can be aimed at the bacterial prostatitis.